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Tuesday
IGS1 - Opening General Session
08:30am - 10:00am Pacific - October 19, 2021 | Room: Augustus 1-2
Welcome Michael A. Holmes, Board Chair, NACHC Opening Session Speakers: E. Benjamin Money, MPH, Senior Vice President, Public Health Priorities, NACHC Eloisa Perard, President and CEO, QueensCare Health Centers Keynote Derek Greenfield, PhD, EdD, Speaker, Educator, and  Author Taking Care of the Caretakers: Building Compassionate, Innovative, and Inclusive Communities in Times of Challenge This dynamic, interactive opening session delivers a transformational opportunity to learn powerful insights for supporting ourselves as well as our employees and clients in order to maintain positive attitudes and achieve optimal performance.   In the midst of 18 months (and counting) of pandemic life, we must continue to honor the importance of relationships in fostering healthy, empowered teams and advancing meaningful change. By modeling approaches to break down barriers and establish spaces of inclusive excellence, the presenter offers a real-time encounter that will offer practical strategies for implementation in our work sites and help create a deep sense of community at FOM/IT. This experience will be carefully curated to ensure that, whether in-person or virtual, participants will be equally engaged and impacted. Take advantage of this special time to learn, laugh, play, and celebrate one another and our work together!
Concurrent Sessions
11:00am - 12:15pm Pacific - October 19, 2021

Tuesday
ITuA1 - Telehealth and the Remote Environment: Considerations for the Post-Pandemic Workforce
11:00am - 12:15pm Pacific - October 19, 2021 | Room: Emperors Ballroom
Track: Telehealth,Operations
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
Telehealth and new remote work opportunities are changing the way in which health centers operate. In addition to remote-work legal considerations, having staff who no longer share physical space changes the work place dynamic. Given the benefits of remote work for employees, many health centers will be adopting hybrid work environments. This session will offer participants legal considerations for remote work and strategies to support team cohesion when staff are no longer co-located around the clock.  As health centers continue to innovate and refine their staffing and workflows, understanding risks and how to mitigate those that arise in operations and in staff output will be critical to overall success.

Objectives:
  • Gain an understanding of legal considerations associated with remote work relative to corporate, professional, IT and employment risks.
  • Identify tools and techniques to assist health center leaders in building team cohesion with remote employees.
  • Learn how to apply legal risk considerations to leadership and building new hybrid teams.
Tuesday
ITuB1 - Preparing for the Federal Audit of the Future
11:00am - 12:15pm Pacific - October 19, 2021 | Room: Augustus 3
Track: Finance
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
While working to respond to the COVID pandemic, health centers received a tremendous amount of support. This support came in the form of grant funds, provider relief payments, the payroll protection and EIDL loan programs, and other resources. It is important that health centers approach all of the funds available to them with the mindset that it is not if, but when federal auditors will review health center use of these funds and records because reconciliation and accountability will come. Presenters will review all of the funds available to health centers and discuss the federal audits of the future to assist health centers with preparing and maintaining auditable records related to the stimulus funds they received while responding to the COVID-19 pandemic.

Objectives:
  • Review previous audit workplans of HHS Office of Inspector General and Division of Financial Integrity to understand how audits of COVID-19 stimulus funds will potentially be approached.
  • Discuss financial statement audit considerations after FASB works through and provides guidance to financial statement auditors in regards to stimulus grant funds.
  • Review financial management requirements of health center financial records to refresh knowledge surrounding record keeping and the use of grant funds.
Tuesday
ITuC1 - Pharmacy and 340B Impacts: Panel Discussion - NTTAP Featured
11:00am - 12:15pm Pacific - October 19, 2021 | Room: Augustus 5
Track: Pharmacy,Operations
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
This session features a subject matter expert panel discussion with health center pharmacists and thought leaders on all things pharmacy operations. Over the past 12 months, health centers have encountered continued attacks on the 340B program by pharmaceutical manufacturers; this has increased the need for heightened awareness and mitigation of these threats and attacks. This has also led to an increase in the development of in-house pharmacies as well as a laser-focused review of contract pharmacy relationships. Panelists will focus on recommendations health center leaders should consider as they maneuver this increasingly challenging environment.

Objectives:
  • Identify the most recent 340B policy and operational developments impacting health center pharmacy access and operations.
  • Discuss new challenges for health centers as some implement in-house pharmacies and reassess contract pharmacy relationships.
  • Highlight new approaches to addressing inquiries from pharmaceutical manufacturers.
Concurrent Sessions
02:00pm - 03:15pm Pacific - October 19, 2021

Tuesday
ITuA2 - Health Center Cybersecurity: Investing to Safeguard Protected Health Information
02:00pm - 03:15pm Pacific - October 19, 2021 | Room: Emperors Ballroom
Track: Operations,Data
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
The health care sector faces a barrage of cybersecurity threats – and community health centers are no exception. Security breaches, fines, and audits create a complexity of challenges for health centers to navigate. This session features a health center and Health Center-Controlled Network (HCCN) perspective on how cybersecurity threats impact the bottom line. Speakers will highlight the importance of budgeting to accurately reflect the costs of protecting their patients' protected health information (PHI) and to prevent and mitigate against cyber threats. Strategies will also be provided for demonstrating a positive return on investment (ROI) for health centers that adequately protect against cybersecurity threats.

Objectives:
  • Describe how to accurately budget to protect your health center from cybersecurity threats.
  • Identify examples of both types of cybersecurity threats that health centers most commonly face in addition to the potential financial impact and cost to health centers.
  • Describe strategies for demonstrating a positive ROI for health centers that adequately protect against cybersecurity threats.
Tuesday
ITuB2 - Finding the Opportunities in Value-Based Pay - NTTAP Featured
02:00pm - 03:15pm Pacific - October 19, 2021 | Room: Augustus 3
Track: Finance
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
The American health care system is moving, in fits and starts, to a more value-based pay model. Health centers wishing to participate in value-based pay need to consider two foundational steps: (1) building infrastructure and (2) engaging effectively with payors. This session will discuss initiating and improving the foundational steps of value-based pay.  

Objectives:
  • Identify foundational elements for value-based pay.
  • Identify attributes of successful value-based pay contracts.
  • Review data points for value-based pay calculations.
Tuesday
ITuC2 - Long-Term Strategy and Best Practices for Implementing Telehealth and Remote Patient Monitoring
02:00pm - 03:15pm Pacific - October 19, 2021 | Room: Augustus 5
Track: Telehealth,Operations
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
Is your health center working on a long-term strategy for telehealth and remote patient monitoring? This presentation will provide tools and best practices for health centers to develop a long-term strategy for both telehealth and remote patient monitoring. Health center executives will share their experiences in developing long-term strategies for implementing telehealth and remote patient monitoring programs, and identify best practices as well as pitfalls to avoid. This will include information on infrastructure, hardware, EHR interface, workflow as well as what is required for pre-implementation, implementation, and post-implementation phases. Presenters will also provide insight and best practices on the utilization of data and trends, from telehealth and remote patient monitoring, to improve clinical outcomes and negotiate value-based contracts with your health plans in the future.

Objectives:
  • Identify best practices for developing and implementing a long-term telehealth strategy and solution.
  • Identify best practices for developing and implementing a long-term remote patient monitoring strategy and solution.
  • Understand how to utilize data from telehealth and remote patient monitoring to improve clinical outcomes and negotiate value-based contracts with health plans.
Concurrent Sessions
04:00pm - 05:15pm Pacific - October 19, 2021

Tuesday
ITuA3 - Focus Points: Tools for Financial Analysis
04:00pm - 05:15pm Pacific - October 19, 2021 | Room: Emperors Ballroom
Joel Hughes, Speaker
Track: Finance
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
Attendees will review with the presenter tools that aid in the analysis of the clinic’s financial and operational processes. Additionally, the program will include and encourage participant engagement as the group evaluates and analyzes these tools and applies them to their own situation.

Objectives:
  • Gain an understanding of key performance indicators specific to this industry.
  • Develop an understanding of how these KPIs relate to analytical tools specific to this industry that will help the participant analyze financial performance.
  • Encourage and provide ideas relating to these analytical tools for informing and educating their clinic’s leadership.
Tuesday
ITuB3 - Leveraging HRSA Funding for Post-COVID Growth - NTTAP Featured
04:00pm - 05:15pm Pacific - October 19, 2021 | Room: Augustus 3
Track: Operations,Finance
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
As part of the American Rescue Plan, HRSA’s capital grant opportunities provide health centers with funding to support construction, expansion, alteration, renovation, and other capital improvements to modify, enhance, and expand health care facilities. This session will focus on project planning guidance for health centers at any stage of the planning and financing process, focusing specifically on health center growth post-COVID-19. It will highlight how to leverage funds for projects from various sources, including local foundations, state and local sources, NMTC, tax-exempt bonds, banks, CDFIs, USDA, HRSA LGP, etc. Health center representatives will also share examples and lessons learned from their own capital development experiences.

Objectives:
  • Plan for a health center capital project at any stage of the process.
  • Leverage funds for projects from various sources, including local foundations, state and local sources, NMTC, tax-exempt bonds, banks, CDFIs, USDA, HRSA LGP, etc.
  • Best utilize HRSA funds to plan for post-COVID-19 growth.
Tuesday
ITuC3 - Know Thyself: The Power of Authentic Leadership and Storytelling in Transforming Communities
04:00pm - 05:15pm Pacific - October 19, 2021 | Room: Augustus 5
Track: COVID-19 Pandemic Operations
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
In this highly participatory session, attendees will examine their own cultural identities and leadership styles, ultimately more fully appreciating the role of authenticity and vulnerability as powerful drivers in building a culture of inclusion and psychological safety for all. Through enhanced self-awareness, leaders are better positioned to address hidden biases within themselves and their policies and practices -- and ultimately can more meaningfully identify approaches for inviting employees to bring their full and best selves to work. The presenter will provide a host of valuable examples, relevant applications, and opportunities for self-exploration, role play, and discussion.

Objectives:
  • Identify their personal leadership style.
  • Enhance a workplace culture of inclusion and psychological safety for all.
  • Guide development of policies and procedures related to workplace biases.
Wednesday
IGS2 - General Session
08:30am - 10:00am Pacific - October 20, 2021 | Room: Augustus 1-2
General Session: The New Era of Data Exchange: What Health Center Leaders Need to Know – A Discussion with the National Coordinator of HIT Welcome Gina Capra, MPA, Senior Vice President, Training and Technical Assistance, NACHC Keynote Speaker: Micky Tripathi, PhD, MPP, National Coordinator for Health Information Technology, U.S. Department of Health and Human Services               In 2021, the U.S. Department of Health and Human Services made several important changes to federal regulation to improve the flow of usable health care data to and from community health centers. We will hear from the National Coordinator for Health IT, Micky Tripathi, on the approach to interoperability in the new age of Fast  Healthcare Interoperability Resources (FHIR) and the U.S. Core Data for Interoperability (USCDI). Dr. Tripathi will describe the benefits and opportunities for health centers in this new era of data exchange and respond to a panel of HCCN, PCA, and health center representatives as they describe some of the opportunities and challenges they see in the health center space for collaboration and improvements in the quality and coordination of care using health IT.  As the National Coordinator for Health Information Technology, at the U.S. Department of Health and Human Services, Micky Tripathi leads the formulation of the federal health IT strategy and coordinates federal health IT policies, standards, programs, and investments. He has over 20 years of experience across the health IT landscape. Panel Discussion Moderator: Julia Skapik, MD, MPH, FAMIA, Medical Director, Informatics, NACHC Panelists: Lindsay Dietz, BSW, MAPM, Director of Program Services and HCCN Director, Arizona Alliance for Community Health Centers Joe Acosta, Chief Technology Officer, Kentucky Primary Care Association Michael A. Holmes, Chair of the Board, NACHC and Chief Executive Officer, Cook Area Health Services, Inc.
Concurrent Sessions
10:30am - 11:45am Pacific - October 20, 2021

Wednesday
IWA1 - Making the Financial Case for Community Health Workers: A CFO Discussion - NTTAP Featured
10:30am - 11:45am Pacific - October 20, 2021 | Room: Emperors Ballroom
Track: Finance
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
Community health workers (CHWs) are critical members of the health center workforce. From responding to COVID-19 to supporting chronic disease management, CHWs increase patient access to care and improve health outcomes. There are many resources that offer operational guidance for health center CHW programs, but few that focus on the financial aspects and sustainability.   This session, targeted to health center CFOs, will feature a panel of CFOs who have implemented successful CHW programs. The panel will describe how and why health centers have hired, trained, and financed CHWs and outline the role of health center CFOs in CHW goal-setting conversations. Panelists will also discuss strategies for measuring return on investment (ROI) and sustainability of CHW programs. The session will conclude with an overview of the policy landscape for CHW reimbursement.

Objectives:
  • Describe how and why health centers have hired, trained, and financed CHWs.
  • Outline the role of health center CFOs in CHW goal-setting conversations.
  • Highlight tools and strategies for measuring CHW ROI.
Wednesday
IWB1 - Leveraging HRSA’s Operational Site Visit to Stay Continuously Compliant and to Improve Health Center Performance - NTTAP Featured
10:30am - 11:45am Pacific - October 20, 2021 | Room: Augustus 1-2
Track: COVID-19 Pandemic Operations
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
During COVID, HRSA has continued to monitor and assess Health Center Program Compliance via virtual Operational Site Visits and its updated Health Center Program Site Visit Protocol. For health center administrators and staff, preparing for these episodic assessments can be time-consuming and stressful. In these challenging times, it is imperative for health centers to create and implement systems that promote continuous compliance and that ultimately serve as the foundation for health center excellence. This session will feature the perspective of independent consultants who work as OSV reviewers and have unique insights on how to prepare for the OSV and create systems that lead to continuous compliance. The session will offer a practical overview of the Health Center Program requirements, HRSA’s Health Center Program Compliance Manual and Site Visit Protocol (updated in May 2021); insights on how to navigate the Virtual OSV process; and potential pain points and common areas of conditions/findings. Strategies for preparing your board and health center and steps your center can take to ensure continuous compliance will also be highlighted.  

Objectives:
  • Describe HRSA’s process and tools for assessing compliance with the Health Center Program Requirements.
  • Implement specific strategies or processes for ensuring continuous compliance and performance improvement.
  • Identify at least three pain points found through the OSV that health centers can proactively address in order to achieve operational excellence.
Wednesday
IWC1 - Making IT Mobile: Strategies for IT Operations to Support Pandemic Response
10:30am - 11:45am Pacific - October 20, 2021 | Room: Augustus 5
Track: Operations
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
Responding to the demands of the community during the time of vaccine delivery has been difficult. This session will discuss strategies to move your health center to remote operations. Presenters will review quick ways to move your staff to a remote workforce and ensure that you can responsibly vaccinate the community where they are through networking and connectivity. The session will also include IT strategies to deploy a “clinic in a bag” so that when your vaccination teams go out into the community, they have the ability to connect directly back to your network and EHR.

Objectives:
  • Identify a strategy to move an in-house call center to home-based work.
  • Understand how technology can work when making your teams mobile.
  • Identify various tips and tricks for quick conversion to workers on the go.
Concurrent Sessions
01:30pm - 02:45pm Pacific - October 20, 2021

Wednesday
IWA2 - The Federal Single Audit Under the Uniform Guidance for CHCs in the New World of CARES Act and American Rescue Plan Funding
01:30pm - 02:45pm Pacific - October 20, 2021 | Room: Emperors Ballroom
Track: Finance
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
Community health centers received an influx of funding from several federal stimulus sources in response to COVID-19 via CARES Act and American Rescue Plan Act Funding. These funding streams will have compliance requirements that CHCs need to be aware of and understand regarding the impact of handling cost principles and administrative requirements in accordance with the Uniform Grant Guidance (SuperCircular), Subpart F for the federal Single Audit. Within the CARES Act, CHCs received funding from the Provider Relief Fund administered by HRSA. Presenters will address best practices and compliance requirements in accordance with Uniform Guidance. This session will help your organization better prepare for the new funding audit and compliance requirements for your external audits, as well as potential areas that could be addressed during an OIG audit.

Objectives:
  • Gain an understanding of the new funding requirements for the Uniform Guidance Audit.
  • Discuss the grant compliance requirements for the CARES and American Rescue Plan Acts and how the requirements are tested for the Uniform Grant Guidance (UGG) Audit.
  • Discuss the Provider Relief Fund recent guidance, impacts on CHCs, and best practices as well as compliance requirements in accordance with the UGG.
Wednesday
IWB2 - Documenting PRAPARE Social Interventions to Improve Health Equity and Demonstrate Value - NTTAP Featured
01:30pm - 02:45pm Pacific - October 20, 2021 | Room: Augustus 1-2
Track: Operations,Data
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
As PRAPARE is increasingly used by care teams nationally to assess patient social determinants of health (SDOH) needs, it is critical to have a standardized system to track the social interventions provided in response. Such systems can promote cross-sector collaboration to assess and address social factors to facilitate comprehensive care coordination to “close the loop” for patients in achieving health equity. Use of the national standardized social interventions protocol would also promote collaborative data collection, aggregation, reporting, exchange, and communication by cross-sector partners to comprehensively assess and address SDOH and close disparity gaps for their patients. This session will examine the PRAPARE Social Interventions Protocol that integrates stakeholder lessons learned and best practices collected through an iteractive process of development with a national Social Interventions Technical Expert Panel (TEP) of diverse cross-sector partners. Experiences of organizations in conducting PDSA evaluations, using the protocol, will also be shared. Overall, the vision for the PRAPARE Social Interventions Protocol is an integrated system facilitating access to critical patient social care information from cross-sector providers, so that care teams internally and externally can collaborate in a more effective, coordinated way to proactively assess and address patient social risks.

Objectives:
  • Understand the importance of tracking interventions provided in response to SDOH needs.
  • Describe the data collection protocol to track social interventions provided in response to the identification of PRAPARE SDOH needs.
  • Hear experiences of organizations in using the standardized social interventions data collection protocol.
Wednesday
IWC2 - Continuous Quality Improvement During a Pandemic
01:30pm - 02:45pm Pacific - October 20, 2021 | Room: Augustus 5
Track: Operations
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
Many health centers had to shift their focus away from formal continuous quality improvement efforts in the face of the COVID-19 pandemic. As we move into the next stage of the pandemic, health centers are refocusing on measures that impact their financial health such as high no-show rates and low productivity, while addressing profound burnout amongst staff members. This workshop will include a case study of one health center that reduced no-show rates by 47 percent across eight sites during COVID-19, addressed burnout through improved teamwork, and put a plan in place to sustain the operational improvements that were responsible for this change during the recovery phase of the pandemic. Attendees will learn tactics they can use to improve no-show rates, productivity, and staff satisfaction and will leave this session with both an understanding of the roadmap to success and concrete tactics that can be implemented immediately to improve operations.

Objectives:
  • Identify key indicators, the definition of each indicator, and how to measure performance.
  • Explore tactics to improve each of the key indicators.
  • Identify the leadership behaviors needed to make these process improvements successful.
Concurrent Sessions
03:15pm - 04:30pm Pacific - October 20, 2021

Wednesday
IWA3 - Moving Towards the Perfect Panel Size: A Defined Empanelment Model
03:15pm - 04:30pm Pacific - October 20, 2021 | Room: Emperors Ballroom
Track: Operations,Data
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
Session presenters will share an empanelment policy and its procedural methodology as strategized by the interdisciplinary Patient Access Committee of Neighborhood Family Practice (NFP). Specific detail will reveal the formation of NFP’s ideal panel size through the collaboration of its departments of Human Resources, Finance, Operations, and Clinical Leadership. After exploring and determining useful appointment and patient metrics to confirm the validity of NFP’s model, further elaboration will detail the procedure designed to achieve and maintain an ideal patient panel. Finally, outlined will be the process which compares and evaluates each clinical care team’s current panel capacity with patient demand across each access point to assist future budget and staffing decisions.

Objectives:
  • Define the perfect panel size.
  • Develop an empanelment procedure.
  • Forecast staffing need to meet patient demand.
Wednesday
IWB3 - Telehealth Compliance…Optimize Opportunity and Limit Liability - NTTAP Featured
03:15pm - 04:30pm Pacific - October 20, 2021 | Room: Augustus 1-2
Track: Telehealth,Finance
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
The COVID pandemic is not quite over and experts believe healthcare delivery will hereafter be a combination of in person and virtual visits. Is your health center compliant with current statutes? Is your technology meeting all security requirements? Is your RCM/billing and clinical team on the same page about what is billable during the leniency afforded by the 1135 Waiver and what to know once it has expired? Does your team understand credentialing issues that exist if delivering care “over the border” in a contiguous state (or any other state) in which your provider/health center is not licensed or insured? Attend this session to learn what you need to know to maximize reimbursement and mitigate legal entanglement from non-compliance.  

Objectives:
  • Understand the 1135 Waiver as it pertains to health centers and when it expires.
  • Know which telehealth services are permanent versus temporary.
  • Learn the difference between telephone-only evaluation and management (E&M) versus telehealth services requiring audio AND visual technology.
Wednesday
IWC3 - Optimizing Your HCCN Partnership to Improve Health Center Operations and Health Outcomes - NTTAP Featured
03:15pm - 04:30pm Pacific - October 20, 2021 | Room: Augustus 5
Track: Operations,Data
Credits Available: 1.50 Accountants (CPE)  |  1.25 Other (CEU)  |  1.50 None
Has your health center optimized your HCCN partnership? Health Center Controlled Networks (HCCNs) are a critical component to the success of health centers.They are comprised of a group of health centers that collaborate to improve operational and clinical practices by making health information technology (HIT) easier for providers to use, increasing the security of patient information, and using data to improve patient care. This session will provide strategies for how to leverage your HCCN partnership to support your health center operations and improve health outcomes through data collection, data analytics, and interoperability.

Objectives:
  • Describe what a HCCN is and how HCCNs can support health centers.
  • Outline the role of HCCNs in data collection, data analytics, and interoperability.
  • Highlight strategies for strengthening partnerships between health centers and HCCNs.